Organization Active NPI

Jamileh Naddaf, DC, PC

  • Chiropractor
  • Effingham, IL
National Provider Identifier
1356446249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-06308 Issued in IL
Legal business name
JAMILEH NADDAF, DC, PC
Practice address
415 W Virginia Ave
Effingham, IL 62401-2259
Phone
(217) 347-3838
Fax
(217) 347-3832
NPI assigned
Sep 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jamileh Naddaf, DCNPI 1285848523
Title
President
Phone
(217) 347-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-06308 IL Primary

Addresses

Primary practice location

415 W Virginia Ave
Effingham, IL 62401-2259

Mailing address

415 W Virginia Ave
Effingham, IL 62401-2259
Phone (217) 347-3838

Other identifiers 2

IdentifierTypeStateIssuer
75222OtherHEALTHLINK
4015002OtherILBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

415 W Virginia Ave
Effingham, IL 62401
Phone (217) 342-3384

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356446249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W VIRGINIA AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012259",
            "telephone_number": "217-347-3838",
            "fax_number": "217-347-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W VIRGINIA AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012259",
            "telephone_number": "217-347-3838",
            "fax_number": "217-347-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMILEH NADDAF, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NADDAF",
        "authorized_official_first_name": "JAMILEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-347-3838",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-06308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "75222",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4015002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.